WALGREEN CO
NPI 1396751962
Pharmacy in Fresno, CA

Active since August 01, 2006CLIA 05D2299590 · Waiver
4810 E KINGS CANYON RD, FRESNO, CA 93727(559) 458-0141 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, May 6, 2022, Dec 1, 2015 (3 updates tracked since 2015).

About Walgreen Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO (NPI 1396751962), doing business as Walgreens #06386, is a healthcare organization registered as a pharmacy in Fresno, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1396751962
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4810 E KINGS CANYON RDFresno, CA 93727-3809
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1396751962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY45437
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4810 E KINGS CANYON RD, Fresno, CA 93727

Other Names 1

Doing Business AsWalgreens #06386

Other Identifiers 2

Other0560967Other Id Number-commercial Number
MedicaidPHA454370CA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2299590

Walgreens 06386 · Fresno, CA
Active · expires Feb 21, 2028
CLIA Number05D2299590
Laboratory TypePharmacy
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorAngie Nguyen
Laboratory Phone(559) 458-0141
Laboratory LocationWalgreens 063864810 E Kings Canyon Rd, Fresno, CA 93727
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #6386 carries, from the Medicare DMEPOS supplier directory.

Walgreens #6386

DMEPOS supplier · Fresno, CAOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #6386 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20394875
Medicare Participant SinceMarch 1, 2022
Supplier Location4810 E Kings Canyon RdFresno, CA 93727
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727
Pharmacist
4810 E KINGS CANYON RD
FRESNO, CA 93727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1396751962. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Walgreens #06386.

Where is Walgreen Co located?

Walgreen Co is located at 4810 E Kings Canyon Rd, Fresno, CA 93727. The listed phone number is (559) 458-0141.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #6386 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2299590) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 38 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.